Medicare NCCI Policy Manual

CMS updates the NCCI Policy Manual for Medicare Services once a year. The NCCI Policy Manual should be used by Medicare Administrative Contractors (MACs) as a general reference tool that explains the rationale for NCCI edits. The most current policy manual, effective Jan. 1, 2024, was posted on Dec. 1, 2023. Additions and revisions to the manual are noted in red font. Additional prior versions of the National Correct Coding Initiative Policy Manual for Medicare Services are available in the Medicare NCCI Policy Manual Archive.

View Manual by Chapter

List of Acronyms (PDF)
Complete Table of Contents (PDF)
Introduction for National Correct Coding Initiative Policy Manual for Medicare Services (PDF)
Chapter 1 - General Correct Coding Policies (PDF)
Chapter 2 - Anesthesia Services Current Procedural Terminology CPT Codes 00000-01999 (PDF)
Chapter 3 - Surgery: Integumentary System CPT Codes 10000-19999 (PDF) (ZIP)
Chapter 4 - Surgery: Musculoskeletal System CPT Codes 20000-29999 (PDF)
Chapter 5 - Surgery: Respiratory, Cardiovascular, Hemic and Lymphatic Systems CPT Codes 30000-39999 (PDF)
Chapter 6 - Surgery: Digestive System CPT Codes 40000-49999 (PDF)
Chapter 7 - Surgery: Urinary, Male Genital, Female Genital, Maternity Care and Delivery Systems CPT Codes 50000-59999 (PDF)
Chapter 8 - Surgery: Endocrine, Nervous, Eye and Ocular Adnexa, and Auditory Systems CPT Codes 60000-69999 (PDF)
Chapter 9 - Radiology Services CPT Codes 70000-79999 (PDF)
Chapter 10 - Pathology/Laboratory Services CPT Codes 80000-89999 (PDF)
Chapter 11 - Medicine, Evaluation and Management Services CPT Codes 90000-99999 (PDF)
Chapter 12 - Supplemental Services HCPCS Level II Codes A0000-V9999 (PDF)
Chapter 13 - Category III Codes CPT Codes 0001T-0999T (PDF)